| NPI | 1093220402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0083510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0083510) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP135996) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 251622) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0083510) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2026-05-13 |